Missouri › Franklin County › Washington
Grandview Healthcare Center
201 Grand Ave, Washington, MO 63090
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Grandview Healthcare Center, in Washington, Missouri, is certified for 102 beds under for-profit, limited liability company ownership.
CMS gives it 2 of 5 stars overall, equal to the Missouri median; the health inspection rating is 3, staffing 2 and quality measures 1.
Inspectors recorded 24 health deficiencies across the three most recent survey cycles (12, 3, 9 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 23.5 per 100 beds, fewer than the state median of 32.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.1 hours per resident per day (0.3 RN), close to the Missouri median of 3.4; nursing staff turnover is 68.6%.
Compared with county, state and nation
| Measure | This facility | Franklin Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 4 | 2 | 3.0 |
| Health citations, 3 cycles | 24 | 24 | 31 | 28.7 |
| Citations per 100 beds | 23.5 | 23.3 | 32.1 | 26.8 |
| Total nurse hours per resident day | 3.1 | 3.1 | 3.4 | 3.9 |
| RN hours per resident day | 0.3 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 68.6% | 56.2% | 56.1% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (7 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 14 Jan 2026, 11 Jul 2024.
Severity mix: G ×1 D ×5 E ×12 F ×6
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 14 Jan 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 26 Feb 2026 |
| 14 Jan 2026 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 26 Feb 2026 |
| 14 Jan 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Complaint investigation | 26 Feb 2026 |
| 14 Jan 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 26 Feb 2026 |
| 14 Jan 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 26 Feb 2026 |
| 14 Jan 2026 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | Standard survey | 26 Feb 2026 |
| 14 Jan 2026 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 26 Feb 2026 |
| 14 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 26 Feb 2026 |
| 14 Jan 2026 | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | E | Standard survey | 26 Feb 2026 |
| 14 Jan 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 26 Feb 2026 |
| 14 Jan 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 26 Feb 2026 |
| 5 Sep 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | G | Complaint investigation | 15 Aug 2025 |
| 11 Jul 2024 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | Standard survey | 21 Aug 2024 |
| 11 Jul 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 21 Aug 2024 |
| 11 Jul 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 21 Aug 2024 |
| 11 Jan 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 16 Feb 2024 |
| 22 Sep 2023 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard survey | 5 Nov 2023 |
| 22 Sep 2023 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | F | Standard survey | 5 Nov 2023 |
| 22 Sep 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 5 Nov 2023 |
| 22 Sep 2023 | F0814 | Dispose of garbage and refuse properly. | F | Standard survey | 5 Nov 2023 |
| 22 Sep 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 5 Nov 2023 |
| 22 Sep 2023 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 5 Nov 2023 |
| 22 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 5 Nov 2023 |
| 22 Sep 2023 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Standard survey | 5 Nov 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 68.6%, RNs —; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 26.1% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.0% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 9.2% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 9.1% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 25.4% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.2% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 28.9% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. CMS groups this facility with 56 facilities under an individual owner's name; this site does not publish people's names, so no chain page is linked. Legal business name: Washington N & R, Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| LTC Management Services LLC | Operational/managerial control | NOT APPLICABLE | 10/11/2011 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Franklin County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| St Clair Nursing Center | Saint Clair | 79 | 5 | 5 | 3 | 8 | 10.1 | $13K | 19 Feb 2026 |
| Life Care Center of Sullivan | Sullivan | 120 | 4 | 4 | 2 | 29 | 24.2 | — | 25 Jun 2026 |
| New Haven Care Center | New Haven | 90 | 4 | 5 | 2 | 13 | 14.4 | — | 21 Mar 2025 |
| Union Nursing | Union | 60 | 4 | 4 | 2 | 14 | 23.3 | — | 19 Nov 2025 |
| Sunset Health Care Center | Union | 120 | 2 | 2 | 2 | 26 | 21.7 | $8K | 30 May 2025 |
| Pacific Care Center | Pacific | 118 | 1 | 3 | 1 | 35 | 29.7 | — | 12 Feb 2026 |
All 7 facilities in Franklin County
Questions and answers
How many deficiencies has Grandview Healthcare Center been cited for?
24 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Grandview Healthcare Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Grandview Healthcare Center compare?
Reported total nurse staffing is 3.1 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Grandview Healthcare Center?
CMS groups it with other facilities under an individual owner, whose name this site does not publish. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include LTC Management Services LLC. Individual owners and managers are not listed on this site.
When was Grandview Healthcare Center last inspected?
The most recent survey or investigation in the CMS record is dated 14 Jan 2026; the most recent standard health survey was 14 Jan 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.